Presented by Meral Patel, MD
- Is bronchoscopy recommended for all patients with recurrent croup?
- Is recurrent croup frequently associated with asthma/atopic disease or any other diagnoses?
- Bronchoscopy is recommended after 2-3 episodes of croup because diagnosis at a lesser severity allows for earlier treatment to halt the progression of disease and to prevent exacerbation of underlying airway narrowing processes
- We should have a higher index of suspicion for finding airway disorders in children less than 3 years old with recurrent croup.
- Consider silent reflux if no structural airway disorders are identified on bronchoscopy
- If signs of silent gastroesophageal reflux are found, or if it is suspected, strongly consider starting antacids
- Current studies deny a cause-effect relationship between reactive airway disease/asthma and recurrent croup
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